A 59-year-old with HFrEF (EF 25%) on metoprolol succinate and sacubitril/valsartan remains symptomatic. K⁺ 4.7 mEq/L, eGFR 65. Which addition improves...

Question

A 59-year-old with HFrEF (EF 25%) on metoprolol succinate and sacubitril/valsartan remains symptomatic. K⁺ 4.7 mEq/L, eGFR 65. Which addition improves outcomes?

Accepted Answer

Add eplerenone

Answer

Non-evidence-based beta-blocker

Answer

Loop diuretic only

Answer

Increase ARNI dose beyond max

Answer

Start ranolazine

us-abim MCQ (SBA): Heart Failure-MRA Use

A 59-year-old with HFrEF (EF 25%) on metoprolol succinate and sacubitril/valsartan remains symptomatic. K⁺ 4.7 mEq/L, eGFR 65. Which addition improves outcomes?